11073.2 CLAIMS FOR REFUNDS
(Revised 5/87)
Agencies will schedule a claim for refund for lost or destroyed employee meal tickets, unused employee meal tickets, unused maintenance services, and erroneous maintenance charges for those employees who (1) have no current maintenance charges or have insufficient maintenance charges and (2) who are no expected to have maintenance charges in the near future to which the credit can be applied.
Claims for refunds will be for the amount of refund requested less any amount due for current maintenance services. (See Section 11073.1) The claim will be scheduled against the appropriation current as of the date the room was vacated for rental refunds or the refund request date, if the refund does not include a rental refund. The claim will be supported with an invoice similar to that illustrated on page 11073.2 (Cont. 1).
EMPLOYEE'S REQUEST FOR REFUND
TO: (Name of State Agency) Date_______________
Unused portion of meal book number______:______tickets $...................
at (unit price)
Unused portion of rent for room number_________ . (date) .......................
to (date) at $ (rate) per month.
Other (explain fully)___________________________ .......................
________________________________________________
Total $.......................
Less amount due (Name of State Agency) for maintenance
services before applying the above credits.
Net Amount Claimed $......................
_____________________
Signature of Claimant
If immediate payment is necessary, such as when an employee is separating from state service, the agency may reimburse the employee by a revolving fund check and reimburse the revolving fund by State Controller's claim schedule. In order to avoid duplicate refunds to employees, the Miscellaneous Deduction Change Report, Std. Form 650, for which a refund by revolving fund check is made, will be noted by writing or stamping across its face the following notation: "Refund by Revolving Fund Check No. ______ in the amount of $ ______. "
All claims scheduled for refunds will be debited to Account No. 1312, Accounts Receivable–Reimbursements, Services to Employees.
